Provider Demographics
NPI:1053370510
Name:BAR-HITE INC
Entity type:Organization
Organization Name:BAR-HITE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DWIGHT
Authorized Official - Middle Name:MELVIN
Authorized Official - Last Name:BARHITE
Authorized Official - Suffix:
Authorized Official - Credentials:HT ASCP
Authorized Official - Phone:719-372-3097
Mailing Address - Street 1:PO BOX 25549
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80936-5549
Mailing Address - Country:US
Mailing Address - Phone:719-372-3097
Mailing Address - Fax:719-372-3097
Practice Address - Street 1:530 K STREET
Practice Address - Street 2:
Practice Address - City:PENROSE
Practice Address - State:CO
Practice Address - Zip Code:81240
Practice Address - Country:US
Practice Address - Phone:719-372-3097
Practice Address - Fax:719-372-3097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246QH0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyHistologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C30723Medicare ID - Type Unspecified